Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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School of Nursing & Midwifery, Trinity College Dublin: 8 th Annual Interdisciplinary Research Conference Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007 Conference Proceedings Back to contents page RESOLUTION OF METHODOLOGICAL ISSUES IN A NURSING INTERVENTION STUDY Presenter Details: Rita J. Olivieri PhD, RN William F. Connell School of Nursing Boston College 140 Commonwealth Avenue Chestnut Hill, Massachusetts 02467 USA Telephone: 617 552-3669 Email: olivierr@bc.edu Nancy Fairchild MS,CAES,RN William F. Connell School of Nursing Boston College 140 Commonwealth Avenue Chestnut Hill, Massachusetts 02467 USA Telephone: 617 552-3749 Email: fairchil@bc.edu Jean A. O’Neil EdD,RN William F. Connell School of Nursing Boston College 140 Commonwealth Avenue Chestnut Hill, Massachusetts 02467 USA Email: jean.oneil@bc.edu Telephone: 617 552-8813 This paper addresses the resolution of methodological issues that arose as a collaborative research team developed and implemented a clinical study. This federally funded study entitled: “Efficacy of Nurse Coaching to Aid Ambulatory Surgery Patients” (#R15NR05174-01A1) with Dorothy Jones as principal investigator was completed in 2006. The broad purpose of this research was to conduct a randomized clinical trial to evaluate the effectiveness of a Nurse- Coached Intervention delivered by telephone beginning on the first surgical evening and at 24 hours, 48 hours and 72 hours following arthroscopic ambulatory surgery. The intervention was planned to be effective in: 1. Promoting cognitive and emotional processing 2. Relieving symptom distress 3. Improving overall functional health status during the recovery process. The research team members came from two institutions: perioperative nurses from Massachusetts General Hospital (MGH), - 627 -
School of Nursing & Midwifery, Trinity College Dublin: 8 th Annual Interdisciplinary Research Conference Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007 Conference Proceedings Boston, Massachusetts, USA and faculty and students from the William F. Connell School of Nursing (CSON) at Boston College located in a suburb of Boston. Massachusetts General Hospital is a major urban teaching hospital with a busy ambulatory surgical unit. The William F. Connell School of Nursing at Boston College provides education at the baccalaureate, masters, and doctoral level as well as an extensive continuing education program. The hospital based ambulatory surgical nurses comprised about 50% of the research team. The ambulatory surgical nursing staff included the nurse manager of the operating suite and ambulatory surgical nurses. The principal investigator was a Professor in the School of Nursing as well as a Nurse Scientist at the hospital. The project manager was a PhD graduate from the school of nursing and in charge of the preadmission unit at the hospital’s ambulatory surgery suite. Four faculty co-investigators conducted the orientation to data collection and nurse coaching. They also collected data at one-week after surgery. The graduate research assistants did data collection and nurse coaching at 72 hours. One graduate student was assigned to do data entry. An undergraduate research assistant prepared subject packages and filed materials. The Nurse Faculty Director of the Research Center at the school of nursing was a consultant on our project. The ambulatory surgery nurses and the students received stipends. Faculty donated their time. This paper is divided into three phases: first is the methodological problems of the planning phase of our research grant, second the concerns during the implementation phase and finally the dissemination of the results of the study. Methodological Problems: Planning Phase The impetus for this study was the restructuring of the health care delivery system within the United States. Advances in technology, improvements in anesthesia administration, and a move toward less invasive surgery have all helped to decrease the impact of surgery on an individual’s lifestyle and to foster recovery outside of the hospital environment. Both the literature and previous studies led by Dorothy Jones (1996, 1997) document the fact that patients increasingly are being admitted, undergoing a surgical procedure and being discharged to home the same day. The same studies consistently describe problems that patients experience at home. The study aimed both to improve patient care and to test the theoretical bases for this intervention study. Therefore several data collection instruments were included. These tools were: - 628 -
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